no association between hiv and intimate partner violence among women in 10 developing countries女性之间没有联系艾滋病毒和亲密伴侣暴力在10个发展中国家.pdfVIP
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no association between hiv and intimate partner violence among women in 10 developing countries女性之间没有联系艾滋病毒和亲密伴侣暴力在10个发展中国家
No Association between HIV and Intimate Partner
Violence among Women in 10 Developing Countries
1 2 1
Guy Harling , Wezi Msisha , S. V. Subramanian *
1 Department of Society, Human Development and Health, Harvard School of Public Health, Boston, Massachusetts, United States of America, 2 Europe and Central Asia
Human Development Sector, The World Bank, Washington, D.C., United States of America
Abstract
Background: Intimate Partner Violence (IPV) has been reported to be a determinant of women’s risk for HIV. We examined
the relationship between women’s self-reported experiences of IPV in their most recent relationship and their laboratory-
confirmed HIV serostatus in ten low- to middle-income countries.
Methodology/Principal Findings: Data for the study came from the most recent Demographic and Health Surveys
conducted in Dominican Republic, Haiti, India, Kenya, Liberia, Malawi, Mali, Rwanda, Zambia and Zimbabwe. Each survey
population was a cross-sectional sample of women aged 15–49 years. Information on IPV was obtained by a face-to-face
interview with the mother with an 81.1% response rate; information on HIV serostatus was obtained from blood samples
with an 85.3% response rate. Demographic and socioeconomic variables were considered as potentially confounding
covariates. Logistic regression models accounting for multi-stage survey design were estimated individually for each
country and as a pooled total with country fixed effects (n = 60,114). Country-specific adjusted odds ratios (OR) for physical
or sexual IPV compared to neither ranged from 0.45 [95% confidence interval (CI): 0.23–0.90] in Haiti to 1.35 [95% CI: 0.95–
1.90] in India; the pooled association was 1.03 [95% CI: 0.94–1.13]. Country-specific adjusted ORs for physical
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